8th July 2024

A 36-year-old received a kidney transplant 4 years ago. He presents with dysuria and pain over the transplant graft

A 36-year-old received a kidney transplant 4 years ago. He presents with dysuria and pain over the transplant graft. He is on Tacrolimus, Prednisolone, Amlodipine and Alfacalcidol.

Observations:


Blood Pressure	90/58 mm HG
Heart Rate	108 /min
SpO2	97% on air
Temperature	37.7 ⁰C
Urine analysis	1+ Nitrites, 1+Leucocytes, 2+Pro

Laboratory analysis:


Haemoglobin	10.5 g/dl	Sodium	135 mmol/dl
White Blood Corpuscles	5.4 x 10^6	Potassium	5.9 mmol/dl
Platelets	151 x10^6	Corrected Calcium	2.42 mmol/dl
Creatinine	102 mmol/dl	Phosphate	0.7 mmol/dl
Urea	4.3 mmol/dl	CRP	30.2 mg/l
Albumin	36 mg/l	Glucose	4.3 mmol/dl

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